T85.09XD

T85.09XD: Other mechanical complication of ventricular intracranial (communicating) shunt, subsequent encounter

Billable / specific codeICD-10-CMPOA exempt

T85.09XD is a billable, specific ICD-10-CM code for other mechanical complication of ventricular intracranial (communicating) shunt, subsequent encounter. It is valid for submission on a claim.

Check T85.09XD with the rest of the claim: free scrubber

7th character "D": subsequent encounter

The appropriate 7th character is to be added to each code from category T85

A: initial encounter
D: subsequent encounter
S: sequela

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Obstruction (mechanical) of ventricular intracranial (communicating) shunt
Perforation of ventricular intracranial (communicating) shunt
Protrusion of ventricular intracranial (communicating) shunt

Excludes2 inherited from the categories above T85.09XD

Not part of this code, but both may be coded when both are present.

Written on T85: Complications of other internal prosthetic devices, implants and grafts

failure and rejection of transplanted organs and tissue (T86.-)

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

T85.09XD is named in 5 Medicare coverage policies: 5 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A53058Billing and Coding: Home Health Physical Therapy
A56612Billing and Coding: CT of the Head
A56747Billing and Coding: Magnetic Resonance Angiography (MRA)
A56805Billing and Coding: Magnetic Resonance Angiography (MRA)

Code history

Unchanged in every release from FY2024 to FY2027.